LA PORTE CLINIC COMPANY LLC; NPI #1770936965

Contact Information

LA PORTE CLINIC COMPANY LLC

104 E CULVER RD
SUITE 102
KNOX, IN 46534-2241

Phone: 219-326-2461
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Rural Health	261QR1300X	B4[14]	Rural Health Clinic

Indicates primary specialty

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NPI Profile & details for LA PORTE CLINIC COMPANY LLC

NPI Number	`1770936965`
LBN Legal business name	LA PORTE CLINIC COMPANY LLC
Authorized official	JENNIFER JACKSON - (SR DIRECTOR PROVIDER ENROLLMENT)
Entity	Organization
Organization subpart ¹	No
Enumeration date	07/22/2016
Last updated	05/07/2024 - About 2 years ago
Identifiers	n/a

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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